Manzo, William A

Manzo, William A is an individual health care provider with primary practice located at 1111 6Th Ave , Des Moines IA 50314-2613. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Manzo, William A can be contacted via phone (515) 643-2667.

Contact Information

Primary practice address
1111 6Th Ave Des Moines IA 50314-2613
Fax:
Website:

Profile Details

NPI number 1689712408
LBN Legal business name Manzo, William A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2007
Last updated Jul 29th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689712408 NPPES
Arkansas Other 98374 ARK BLUE SHIELD
Arkansas MEDICAID 208856120 ARK BLUE SHIELD
Arkansas MEDICAID 139978001 ARK BLUE SHIELD
Arkansas Other 173098 ARK BLUE SHIELD

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